Organization
PEACEMAKERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE GORDON (DIRECTOR)
(817) 500-7417
Entity
Organization
Contact information
Practice address
808 E RAMSEY AVE, FORT WORTH, TX 76104-6529
(817) 500-7417
Mailing address
808 E RAMSEY AVE, FORT WORTH, TX 76104-6529
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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